在临床营养评估中考虑一种以蛋白质为重点的选仪器
Allison T Contillo1, Ock K Chun1, Nancy R Rodriguez1
1University of Connecticut, Department of Nutritional Sciences, Storrs, CT, 06269, USA.
Clinical nutrition ESPEN
|December 6, 2023
概括
生理压力会损害肌肉质量. 一个以蛋白质为重点的选器可以确定患者的低最佳蛋白质摄入量,帮助肌肉健康和恢复,特别是在老年人中.
科学领域:
- 营养科学 营养科学
- 老年医学 老年医学
- 术后恢复 术后恢复
背景情况:
- 受伤和手术造成的生理压力会破坏蛋白质平衡,导致肌肉质量丧失.
- 目前的营养风险查工具并没有专门评估蛋白质摄入量.
- 低于最佳的蛋白质摄入量甚至可以发生在非营养不良的患者中,影响肌肉健康.
研究的目的:
- 突出需要一个特定的工具来评估在外科手术期间蛋白质摄入量.
- 强调确定低于最佳蛋白质摄入量对肌肉质量维护和功能恢复的重要性.
- 建议使用一种临床上合适的以蛋白质为中心的选剂.
主要方法:
- 这是一篇意见稿,而不是研究报告.
- 它回顾了手术前应激对蛋白质平衡和肌肉健康的影响.
- 它讨论了当前营养查方法的局限性.
主要成果:
- 现有的选工具可能无法检测不充分的蛋白质摄入量.
- 老年人特别容易受到肌肉缩的伤害,原因是外科手术期间的压力.
- 专门的蛋白质选器可以提供快速有效的评估.
结论:
- 适当的外科手术期间蛋白质摄入对于减轻肌肉缩和支持功能恢复至关重要.
- 需要一个以蛋白质为重点的选器来识别患有低于最佳蛋白质摄入量风险的患者.
- 实施这种查可以改善患者的治疗结果,特别是在老年人等弱势群体中.
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